Zizindikiro za matenda C mu akazi. Chiwindi C: chithandizo. Chiwindi C: Zizindikiro

"Ofatsa wakupha" - dzina kwa chiwindi C madokotala. Zizindikiro wofatsa ndi woopsa, pafupifupi woopsa kulola ife tiuze ngati matenda ovuta ngati maganizo dzina.

Kodi izi HIV woopsa kwambiri?

Chiwindi C chilengedwe tizilombo. Maonekedwe, tizilomboto selo uli mawonekedwe ozungulira ndi chipolopolo ndi ili mkati mfundo chibadwa. Matupi tichipeza mbewu imodzi yokha (RNA timafupa), amene ndiyotengera 9 mapuloteni. Kuphweka dongosolo la facilitates malowedwe mofulumira kachilombo m'zipinda chiwindi. Unit akhudzidwa lidakali ndi amatero kumvera tizilombo maselo zinthu.

Hepatocyte lithe mapuloteni tizilombo RNA. The particles utangoyamba ikuyenda m'madera wathanzi, matenda iwo. Yaitali ntchito virusonosnyh maselo kumabweretsa imfa ya chiwindi minofu kapena kubadwanso awo, wodziwonetsa mu zotupa zilonda.

Mbali imodzi ya chiwindi C ndi mphamvu yake kupanga "quasispecies" - kusinthidwa particles. Matupi a HIV, pali madera amene masinthidwe zimachitika kawirikawiri. Chifukwa cha zovuta matenda, "chiwindi C". Zizindikiro ndi mankhwala ali ndi zovuta vuto, chifukwa zakale osati chitaperekedwa ndi wachiwiri ndi chimafotokozera katswiri mwangwiro payekha. Pankhaniyi, chiwindi imaphwanya pang'onopang'ono, ndi maselo tizilombo kupitiriza kudutsa mu minofu ndi ziwalo zina, kuchititsa comorbidities.

Kodi ali ndi matenda a chiwindi C?

Kamodzi mkazi chamoyo, HIV chiwindi a C wachulukitsa mu chiwindi ndi amazungulira ndi magazi thupi lonse. Koma monga nthumwi causative matenda umalowa thupi? Njira zonse za matenda ena njira chikugwirizana ndi magazi, yoopsa milandu yonse imene magazi a munthu amene ali kulumikiza wanu. Chiwerengero chachikulu kwambiri cha milandu matenda pozigwiritsa ntchito mankhwala mtsempha. Nthawi zambiri zakhudzana syringe, amene ntchito ndi anthu angapo, HIV kuchokera munthu kachilombo wina. Malinga ndi kafukufuku, 80% osokoneza odwala ndi aakulu chiwindi C matenda amene nthawi zambiri amapezeka pa jekeseni choyamba.

Kuopsa komanso chiwerewere. Kudzera mosadziteteza kukhudzana kugonana angayambe matenda (ngati mnzanu ndi chotengera cha HIV) ndi 5-10%. Komabe, zizindikiro za matenda C mu amayi siziwoneka nthawi yomweyo. Pa kubadwa mayi ndi kachilombo kwa imabwera kufala kwa matendawa kwa mwana wosabadwayo si upambana 5%.

Mpaka posachedwapa, magazi akhala oopsa chifukwa chakuti zikhoza matenda a chiwindi C. Kuyambira mu 1999, zinthu mwiniwake anayamba kufufuza pamaso pa chitetezo ku matenda. Panopa deta akhoza ali ndi 4% ya milandu. Musaiwale kuti N'kutheka akamubisalire zingapo za vuto lililonse mwamtheradi koyamba, zinthu. Mwachitsanzo, pamene inu kukaona ometera, nthawi zonse mano mankhwala kapena phukusi opaleshoni, pali chiopsezo kwambiri matenda.

Pa nthawi imene ndondomeko amagwirizana ndi kuphwanya umphumphu wa khungu kapena nembanemba mucous, funsani momwe zipangizo zakonzeka. Muyenera kukhala tcheru ndi zizindikiro, kuboola thupi, kugwira zozipakapaka (pedicure). Infection kumachitika chifukwa zipangizo ntchito neprodezinfitsirovannyh kuti angathe kupatsira magazi opatsirana alendo m'mbuyomu.

Chifukwa milandu 40 mwa 100 sangathe kukhazikitsa chifukwa wodalirika wa matenda, Ndi bwino kupewa zinthu kumene magazi anu kulumikiza particles wa magazi a munthu amene akudwalayo.

Zizindikiro za matenda C mu akazi

Tsopano ndikuuzeni mmene khalidwe matenda. Ngati Inu pazifukwa zina pali funso zimene zizindikiro za matenda C, nthawi zonse muyenera kukaonana ndi katswiri. matenda si yodziwika ndi zizindikiro zenizeni. Ku mitundu ina ya HIV n'chosiyana kwambiri chiwindi C.

Zizindikiro kawirikawiri kuonekera mu sabata loyamba matenda, ndi yellowness wa khungu - chodabwitsa osowa. Kawirikawiri wodwala akukumana kutopa, kutopa msanga ndipo amamva kutopa. Izi ndi zizindikiro zazikulu za matenda C. akazi The mu 35-65% milandu maganizo. Kawirikawiri pa njira pachimake matenda zingakhale zosangalatsa molumikizana mafupa, kudzimbidwa, zambiri popanda kwambiri kuwonjezeka kutentha.

Similar zizindikiro za matenda C mu akazi osokoneza mfundo matenda amenewa loopsa. Komanso, odwala zambiri safuna chithandizo nthawi, chifukwa mu zosokonezeka. Popanda chisamaliro choyenera kwa chiwindi B HIV kungayambitse matenda enaake kapena khansa chiwindi. Mu asymptomatic njira ya matenda munthu akhoza kwathunthu mwachisawawa kuphunzira za matenda pa siteji oyambirira. Kawirikawiri, izi zimachitika pamene mukufuna kuyesa kwa magazi, kapena ndinu mwiniwake. Pamene akuthamanga buku la kuwonjezeka mu buku la mmimba, pali mitsempha kangaude, matenda a chikasu ndiyo, kufooka mumamva.

Woyamba "kumeza" matendawa

Zizindikiro zoyambirira za matenda C mu amai akhoza kusokonezedwa ndi chimfine. Isanayambike matenda nthawi zambiri limodzi ndi kuledzera ndi pa masabata oyambirira 2 atuluka pafupifupi palibe mawonetseredwe kuwoneka. Only mu nthawi zina, pali kuyabwa, kupweteka m'malo olumikizirana mafupa ndi minofu, mdima mkodzo, kusafuna kudya.

Pafupipafupi madandaulo amene ankachitira odwala ndi:

• ulesi, mphwayi, ndi kufooka kwa thupi;
• yafupika ntchito maganizo
• zosasangalatsa kukoka kumverera mu lamanja nusu chapamwamba;
• wathunthu wosafuna kudya chakudya kapena madzi;
• aliyense chakudya amachititsa nkhawa.

Nthawi zambiri, matenda a chiwindi C (zizindikiro ndi mankhwala, monga ife kale anasonyeza, atsimikiziridwa mosamala kwambiri ndi payekha) ndi anasamutsidwa mwa njila yosavuta, koma dongosolo la 10% akhoza poyera kuti fulminant mitundu (mofulumira) matenda amene angathe kukhala oopsa. Mu 80-90% milandu, matenda amakhala aakulu.

Kudziwa matenda n'kofunika kuchita mndandanda, monga mayesero zasayansi kuvomerezedwa ndi izi:

• atayezetsa zili alt, Ast, bilirubin;
• kudziwa odana ndi matendawa m'magazi (chitetezo kwa chiwindi C HIV);
• atayezetsa kwa PCR-matendawa;
• SPL ndi chiwindi biopsy, njira imene anatsimikiza ndi zovuta matenda;
• kwa odwala matenda a shuga kapena matenda oopsa m'pofunika kafukufuku wa fundus, mmene wapezeka retinopathy.

Pa mayesero onsewa, zizindikiro zosiyanasiyana ku matenda a "chiwindi C". Choncho, dokotala nthawi zina zambiri mndandanda wa njira kafukufuku kapena amachepetsa izo, malingana ndi wodwala matenda kapena choyezera zida.

Chipatala kuwonekera kwa matenda

Kamodzi mu thupi kudzera pakhungu kapena mucosa, tizilombo achulukane ndi kudziunjikira m'mwazi mu ziwalo mkati. The kuwonongeka kwambiri iwo chifukwa maselo chiwindi. Kutenga mizu mwa iwo, kachilombo "m'malo" maselo wathanzi anakhudzidwa. Komanso, maselo tizilombo zimene awerengazo malamulo awo maselo a DNA anthu, kuzipatsa kukabisala kwa nthawi yaitali ndipo sanagwe mchikakamizo ulamuliro mthupi. Chinthu Ichi ndi yaikulu chifukwa percolation mu mawonekedwe aakulu a matenda. Komanso limathandiza kuti chitukuko cha matenda HIV wodwalayo, womwe kungachititse kuti pachimake kulephera chiwindi, matenda a chiwindi ndi maonekedwe a zotupa khansa.

Ngati tikambirana ndondomeko pa mlingo ma, zizindikiro loyamba la chiwindi C kuoneka chifukwa kuwonongedwa kwa maselo zinchito chiwindi. Ngati kuwonongeka kwa zipolopolo mkati kukhulupirika amachuluka njira makutidwe ndi okosijeni. Mu zimakhala anapanga "dzenje" imene maselo zichokera kwa michere ndi ayoni K ndipo akubwera mu soda ndi kashiamu ayoni. Vutoli kumabweretsa chakuti madzi si anasonyeza ndipo amachititsa khungu kutupa. Kukomoka zimaonekera kuwonjezeka chithunzi thupi kapangidwe inachokera mu necrosis chiwindi (m'madera maselo akufa) ndi akusokoneza kuwombola bilirubin, amene akuwonekera chitukuko cha matenda a chikasu ndiyo.

Gawo la matenda

Akatswiri kudziwa magawo angapo a matenda: pachimake, zobisika, reactivation ndi ndondomeko kuchira. Komabe, inu kusankha pachimake ndi aakulu mawonekedwe, womwenso otsiriza magawo atatu. Tiyeni tione mwatsatanetsatane matenda "chiwindi" Zizindikiro mu akazi, zithunzi za limba akhudzidwa.

Gawo pachimake

Ngati wodwala matenda ndi "pachimake kutupa C" zizindikiro ndi awa:

• mawonetseredwe a chiwindi matenda pachimake;
• kuwonjezeka chiwerengero transamina;
• maonekedwe a odana ndi matendawa IgM, ndi odana ndi matendawa IgG kwa zedi, pakalibe odana ndi matendawa IgG;
• Kudziwika matendawa RNA mu magazi wodwalayo.

Gawo pachimake kumatenga za 6 miyezi.

gawo zobisika

Sitepe zingachitike pamaso kuchitika exacerbation za matenda C. Zizindikiro adzawonekera pambuyo pa miyezi 6 kapena kale. Pankhaniyi:

• mawonetseredwe matenda si anati;
• pang'ono kuchuluka mlingo transamina;
• odana ndi matendawa anatsimikiza IG mu kuchuluka kwa pafupifupi 1: 160 kapena kuposa;
• sanalemberetu odana ndi matendawa IgM;
• Zimakhala kale kuonedwa matendawa RNA m'magazi.

Kutalika kwa gawo lino ndi ambiri za zaka 10.

reactivation

Liwiro ntchito HIV limodzi ndi makhalidwe awa:

• yotsalira limasonyeza gawo pachimake;
• zizindikiro woyamba za matenda aakulu;
• kuwonjezeka index transamina;
• kudziwika odana ndi matendawa IgM, odana ndi matendawa IgG, RNA m'mwazi;

sitepe anatsimikiza kwa zaka 5-10 ndipo anapeza kuti matenda enaake chiwindi, omwe ungadziwike monga chachikulu carcinoma hepatocellular.

kuchira

Ngati chimatanthauza matenda a "chiwindi C", zizindikiro, chithandizo, zotsatira amagwiritsidwa anafufuza ndipo anafotokoza kuti wodwalayo, mukhoza chitani convalescence. Apa iwo ali muyezo yake kwa kudziwa chikhalidwe cha munthu. Awa:

• pakalibe deta matenda;
• transamina mlingo zovomerezeka;
• kudziwika odana ndi matendawa IgG ndi odana ndi matendawa IgG mu titers otsika ndipo mofulumira awo pang'onopang'ono;
• pakalibe IgM odana ndi matendawa ndi matendawa RNA m'magazi.

chithandizo Traditional za matenda C

Pamene matenda a "chiwindi C" mankhwala zotchulidwa dokotala, matenda opatsirana. Nthawi zambiri malangizo chachikulu cha ntchito akatswiri ndi:

• kuchotsa kutupa mu zimakhala chiwindi;
• kupewa matenda a chiwindi;
• kuchepetsa ndende ya maselo tizilombo ndipo chitayiko chawo wangwiro.

Chithandizo wodwalayo mankhwala zokolola - ngati mankhwala okwera mtengo European, ndi zambiri demokalase pa mtengo wa Akhristu m'banja. Tikumbukenso kuti pamodzi ndi mankhwala muyenera n'kudziphatika kwa zakudya ndi kwathunthu kuthetsa mowa ndi fodya. Kuthetsa alinso ndithu thupi yaikulu. Wodwala ayenera kukhala pa mpumulo.

mankhwala polimbana ndi matenda a chiwindi C

chiopsezo ambiri ndi achisangalalo ku mankhwala a zitsamba. Mu matenda a chiwindi C akazi akulangizidwa kutenga njira imeneyi:

• fupipafupi (mawola 3) kumwa masupuni 2 a kulowetsedwa wa mizati ya stigmas chimanga, ndi kamodzi patsiku - angapo supuni ya Frechet horseradish;
• tsiku lililonse pa chopanda kanthu m'mimba kumwa tambula ya decoction a tchire (mungathe ndi supuni uchi); makapu awiri impso msuzi kapena masamba birch (kuwonjezera uzitsine soda); akhoza alternated ndi makapu 2 msuzi tchire, chowawa udzu ndi mlombwa zipatso;
• Ndi bwino kuti akonze decoction wa St. John wa liziwawa, maluwa Helichrysum ndi buckthorn makungwa ndi kumwa magalasi angapo tsiku lililonse;
• monga momwe mukhoza kumwa timbewu tiyi kapena decoction.
• Akutsutsana amachita brine kuzifutsa kabichi (ayenera kumwa sips angapo a tsiku), adyo ndi mandimu (palibe supuni oposa 6 pa tsiku.), Mbatata madzi (1.5 g patsiku.), Karoti, Beet madzi mu chiŵerengero cha 1: 1 (2-3 magalasi tsiku), ndi decoction wa liziwawa St. John (kamodzi pa tsiku supuni 2. spoons), dandelion madzi (kuchepetsedwa ndi madzi 1:10).

Kutisambitsa thupi herbalists oyambirira amalangiza masiku 3 kuchita ndi mankhwala ndi olemera msuzi chamomile.

Kodi njira kuteteza chiwindi C?

Pakali pano, asayansi sanapeze katemera polimbana chiwindi C, kotero njira zopewera ikukhudzana okha kuchepetsa mavuto kugwirizana ndi malowedwe zotheka kwa HIV kudzera magazi. M'mawu ena, kusiyiratu kulankhulana ndi anthu amene ali pa chiopsezo: osokoneza bongo, kugonana kwa amuna. Chenjezo Akhalenso kulankhula ndi anthu amene zagonjetsedwa kwa opaleshoni kapena magazi. chidwi ziperekedwe kwa zipangizo kuti tinapangidwa ntchito angapo pagulu (mano, zozipakapaka, Chalk hairdresser a).

Zikatero, pamene banja lanu ali odwala, muyeneranso kutsatira miyezo yeniyeni. Chalk munthu zofunikira muyenera kuonetsetsa (mafoloko ndi mipeni, wamsuwachi zipangizo, etc .., chimene magazi mukhoza kupeza). Ngati kuwonongeka kwa khungu apatsidwe thandizo chilonda. Pakakhala malo onse kumene mwangozi anagunda magazi odwala anthu. Wodwalayo ndipo anthu onse m'banjamo ayenera ndisanabadwe nthawi zonse kuteteza chitukuko cha matenda. A Madongosolo prophylaxis ndi katemera motsutsana a chiwindi A ndi B, kuyambira matenda ndi tizilombo angapo ankachitira zambiri zovuta.

Ngati ife kulankhula za mlingo dziko, kuchepetsa ndi kulamulira kutupa kumathandiza kuti:

• kuwongolera miyezo ya moyo ndi chikhalidwe cha anthu;
• Osaphatikiza dongosolo chosasamala mu chisamaliro chaumoyo, njira yoika a udindo kuchitapo kanthu olakwika zachipatala
• oyamba a inshuwalansi.